| NPI | 1942966288 |
|---|---|
| Former Name | CRYSTAL TART STEINBAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: PA TEI005457) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 1676) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |